ccr/createCCR.php

   1 <?php
   2
   3 /**
   4  * CCR Script.
   5  *
   6  * @package   OpenEMR
   7  * @link      http://www.open-emr.org
   8  * @author    Garden State Health Systems <http://www.gshsys.com/>
   9  * @author    Brady Miller <brady.g.miller@gmail.com>
  10  * @copyright Copyright (c) 2010 Garden State Health Systems <http://www.gshsys.com/>
  11  * @copyright Copyright (c) 2018-2019 Brady Miller <brady.g.miller@gmail.com>
  12  * @license   https://github.com/openemr/openemr/blob/master/LICENSE GNU General Public License 3
  13  */
  14
  15 // check if using the patient portal
  16 //(if so, then use the portal authorization)
  17 if (isset($_GET['portal_auth'])) {
  18     $landingpage = "../portal/index.php";
  19
  20     // Will start the (patient) portal OpenEMR session/cookie.
  21     require_once(dirname(__FILE__) . "/../src/Common/Session/SessionUtil.php");
  22     OpenEMR\Common\Session\SessionUtil::portalSessionStart();
  23
  24     if (isset($_SESSION['pid']) && isset($_SESSION['patient_portal_onsite_two'])) {
  25         $pid = $_SESSION['pid'];
  26         $ignoreAuth = true;
  27         global $ignoreAuth;
  28     } else {
  29         OpenEMR\Common\Session\SessionUtil::portalSessionCookieDestroy();
  30         header('Location: ' . $landingpage . '?w');
  31         exit;
  32     }
  33 }
  34
  35 require_once(dirname(__FILE__) . "/../interface/globals.php");
  36 require_once(dirname(__FILE__) . "/../library/sql-ccr.inc");
  37 require_once(dirname(__FILE__) . "/uuid.php");
  38 require_once(dirname(__FILE__) . "/transmitCCD.php");
  39 require_once(dirname(__FILE__) . "/../custom/code_types.inc.php");
  40
  41 use PHPMailer\PHPMailer\PHPMailer;
  42
  43 function createCCR($action, $raw = "no", $requested_by = "")
  44 {
  45
  46     $authorID = getUuid();
  47     $patientID = getUuid();
  48     $sourceID = getUuid();
  49     $oemrID = getUuid();
  50
  51     $result = getActorData();
  52     while ($res = sqlFetchArray($result[2])) {
  53         ${"labID{$res['id']}"} = getUuid();
  54     }
  55
  56        $ccr = new DOMDocument('1.0', 'UTF-8');
  57        $e_styleSheet = $ccr->createProcessingInstruction('xml-stylesheet', 'type="text/xsl" href="stylesheet/ccr.xsl"');
  58        $ccr->appendChild($e_styleSheet);
  59
  60        $e_ccr = $ccr->createElementNS('urn:astm-org:CCR', 'ContinuityOfCareRecord');
  61        $ccr->appendChild($e_ccr);
  62
  63        /////////////// Header
  64
  65        require_once("createCCRHeader.php");
  66        $e_Body = $ccr->createElement('Body');
  67        $e_ccr->appendChild($e_Body);
  68
  69        /////////////// Problems
  70
  71        $e_Problems = $ccr->createElement('Problems');
  72        require_once("createCCRProblem.php");
  73        $e_Body->appendChild($e_Problems);
  74
  75        /////////////// Alerts
  76
  77        $e_Alerts = $ccr->createElement('Alerts');
  78        require_once("createCCRAlerts.php");
  79        $e_Body->appendChild($e_Alerts);
  80
  81        ////////////////// Medication
  82
  83        $e_Medications = $ccr->createElement('Medications');
  84        require_once("createCCRMedication.php");
  85        $e_Body->appendChild($e_Medications);
  86
  87        ///////////////// Immunization
  88
  89        $e_Immunizations = $ccr->createElement('Immunizations');
  90        require_once("createCCRImmunization.php");
  91        $e_Body->appendChild($e_Immunizations);
  92
  93
  94        /////////////////// Results
  95
  96        $e_Results = $ccr->createElement('Results');
  97        require_once("createCCRResult.php");
  98        $e_Body->appendChild($e_Results);
  99
 100
 101        /////////////////// Procedures
 102
 103        //$e_Procedures = $ccr->createElement('Procedures');
 104        //require_once("createCCRProcedure.php");
 105        //$e_Body->appendChild($e_Procedures);
 106
 107        //////////////////// Footer
 108
 109        // $e_VitalSigns = $ccr->createElement('VitalSigns');
 110        // $e_Body->appendChild($e_VitalSigns);
 111
 112        /////////////// Actors
 113
 114        $e_Actors = $ccr->createElement('Actors');
 115        require_once("createCCRActor.php");
 116        $e_ccr->appendChild($e_Actors);
 117
 118     if ($action == "generate") {
 119         gnrtCCR($ccr, $raw, $requested_by);
 120     }
 121
 122     if ($action == "viewccd") {
 123         viewCCD($ccr, $raw, $requested_by);
 124     }
 125 }
 126
 127 function gnrtCCR($ccr, $raw = "no", $requested_by = "")
 128 {
 129     global $pid;
 130
 131     $ccr->preserveWhiteSpace = false;
 132     $ccr->formatOutput = true;
 133
 134     if ($raw == "yes") {
 135         // simply send the xml to a textarea (nice debugging tool)
 136         echo "<textarea rows='35' cols='500' style='width:95%' readonly>";
 137         echo $ccr->saveXml();
 138         echo "</textarea>";
 139         return;
 140     } elseif ($raw == "hybrid") {
 141 // send a file that contains a hybrid file of the raw xml and the xsl stylesheet
 142         createHybridXML($ccr);
 143     } elseif ($raw == "pure") {
 144 // send a zip file that contains a separate xml data file and xsl stylesheet
 145         if (! (class_exists('ZipArchive'))) {
 146                         displayError(xl("ERROR: Missing ZipArchive PHP Module"));
 147                     return;
 148         }
 149
 150         $tempDir = $GLOBALS['temporary_files_dir'];
 151         $zipName = $tempDir . "/" . getReportFilename() . "-ccr.zip";
 152         if (file_exists($zipName)) {
 153                     unlink($zipName);
 154         }
 155
 156         $zip = new ZipArchive();
 157         if (!($zip)) {
 158                     displayError(xl("ERROR: Unable to Create Zip Archive."));
 159                     return;
 160         }
 161
 162         if ($zip->open($zipName, ZipArchive::CREATE)) {
 163             $zip->addFile("stylesheet/ccr.xsl", "stylesheet/ccr.xsl");
 164             $xmlName = $tempDir . "/" . getReportFilename() . "-ccr.xml";
 165             if (file_exists($xmlName)) {
 166                             unlink($xmlName);
 167             }
 168
 169             $ccr->save($xmlName);
 170             $zip->addFile($xmlName, basename($xmlName));
 171             $zip->close();
 172             header("Pragma: public");
 173             header("Expires: 0");
 174             header("Cache-Control: must-revalidate, post-check=0, pre-check=0");
 175             header("Content-Type: application/force-download");
 176             header("Content-Length: " . filesize($zipName));
 177             header("Content-Disposition: attachment; filename=" . basename($zipName) . ";");
 178             header("Content-Description: File Transfer");
 179             readfile($zipName);
 180             unlink($zipName);
 181             unlink($xmlName);
 182                 exit(0);
 183         } else {
 184                     displayError(xl("ERROR: Unable to Create Zip Archive."));
 185                     return;
 186         }
 187     } elseif (substr($raw, 0, 4) == "send") {
 188         $recipient = trim(stripslashes(substr($raw, 5)));
 189         $result = transmitCCD($ccr, $recipient, $requested_by, "CCR");
 190         echo htmlspecialchars($result, ENT_NOQUOTES);
 191         return;
 192     } else {
 193         header("Content-type: application/xml");
 194             echo $ccr->saveXml();
 195     }
 196 }
 197
 198 function viewCCD($ccr, $raw = "no", $requested_by = "")
 199 {
 200     global $pid;
 201
 202     $ccr->preserveWhiteSpace = false;
 203     $ccr->formatOutput = true;
 204
 205     if (file_exists(dirname(__FILE__) . '/generatedXml')) {
 206         $ccr->save(dirname(__FILE__) . '/generatedXml/ccrForCCD.xml');
 207     }
 208
 209     $xmlDom = new DOMDocument();
 210     $xmlDom->loadXML($ccr->saveXML());
 211
 212     $ccr_ccd = new DOMDocument();
 213     $ccr_ccd->load(dirname(__FILE__) . '/ccd/ccr_ccd.xsl');
 214
 215     $xslt = new XSLTProcessor();
 216     $xslt->importStylesheet($ccr_ccd);
 217
 218     $ccd = new DOMDocument();
 219     $ccd->preserveWhiteSpace = false;
 220     $ccd->formatOutput = true;
 221
 222     $ccd->loadXML($xslt->transformToXML($xmlDom));
 223
 224     if (file_exists(dirname(__FILE__) . '/generatedXml')) {
 225         $ccd->save(dirname(__FILE__) . '/generatedXml/ccdDebug.xml');
 226     }
 227
 228     if ($raw == "yes") {
 229       // simply send the xml to a textarea (nice debugging tool)
 230         echo "<textarea rows='35' cols='500' style='width:95%' readonly>";
 231         echo $ccd->saveXml();
 232         echo "</textarea>";
 233         return;
 234     }
 235
 236     if ($raw == "pure") {
 237         // send a zip file that contains a separate xml data file and xsl stylesheet
 238         if (! (class_exists('ZipArchive'))) {
 239             displayError(xl("ERROR: Missing ZipArchive PHP Module"));
 240             return;
 241         }
 242
 243         $tempDir = $GLOBALS['temporary_files_dir'];
 244         $zipName = $tempDir . "/" . getReportFilename() . "-ccd.zip";
 245         if (file_exists($zipName)) {
 246             unlink($zipName);
 247         }
 248
 249         $zip = new ZipArchive();
 250         if (!($zip)) {
 251             displayError(xl("ERROR: Unable to Create Zip Archive."));
 252             return;
 253         }
 254
 255         if ($zip->open($zipName, ZipArchive::CREATE)) {
 256             $zip->addFile("stylesheet/cda.xsl", "stylesheet/cda.xsl");
 257             $xmlName = $tempDir . "/" . getReportFilename() . "-ccd.xml";
 258             if (file_exists($xmlName)) {
 259                 unlink($xmlName);
 260             }
 261
 262             $e_styleSheet = $ccd->createProcessingInstruction(
 263                 'xml-stylesheet',
 264                 'type="text/xsl" href="stylesheet/cda.xsl"'
 265             );
 266             $ccd->insertBefore($e_styleSheet, $ccd->firstChild);
 267             $ccd->save($xmlName);
 268             $zip->addFile($xmlName, basename($xmlName));
 269             $zip->close();
 270             header("Pragma: public");
 271             header("Expires: 0");
 272             header("Cache-Control: must-revalidate, post-check=0, pre-check=0");
 273             header("Content-Type: application/force-download");
 274             header("Content-Length: " . filesize($zipName));
 275             header("Content-Disposition: attachment; filename=" . basename($zipName) . ";");
 276             header("Content-Description: File Transfer");
 277             readfile($zipName);
 278             unlink($zipName);
 279             unlink($xmlName);
 280             exit(0);
 281         } else {
 282             displayError(xl("ERROR: Unable to Create Zip Archive."));
 283             return;
 284         }
 285     }
 286
 287     if (substr($raw, 0, 4) == "send") {
 288         $recipient = trim(stripslashes(substr($raw, 5)));
 289         $result = transmitCCD($ccd, $recipient, $requested_by);
 290         echo htmlspecialchars($result, ENT_NOQUOTES);
 291         return;
 292     }
 293
 294         $ss = new DOMDocument();
 295         $ss->load(dirname(__FILE__) . "/stylesheet/cda.xsl");
 296
 297         $xslt->importStyleSheet($ss);
 298
 299         $html = $xslt->transformToXML($ccd);
 300
 301         echo $html;
 302 }
 303
 304
 305 function sourceType($ccr, $uuid)
 306 {
 307
 308     $e_Source = $ccr->createElement('Source');
 309
 310     $e_Actor = $ccr->createElement('Actor');
 311     $e_Source->appendChild($e_Actor);
 312
 313     $e_ActorID = $ccr->createElement('ActorID', $uuid);
 314     $e_Actor->appendChild($e_ActorID);
 315
 316     return $e_Source;
 317 }
 318
 319
 320 function displayError($message)
 321 {
 322     echo '<script>alert("' . addslashes($message) . '");</script>';
 323 }
 324
 325
 326 function createHybridXML($ccr)
 327 {
 328
 329     // save the raw xml
 330     $main_xml = $ccr->saveXml();
 331
 332     // save the stylesheet
 333     $main_stylesheet = file_get_contents('stylesheet/ccr.xsl');
 334
 335     // replace stylesheet link in raw xml file
 336     $substitute_string = '<?xml-stylesheet type="text/xsl" href="#style1"?>
 337 <!DOCTYPE ContinuityOfCareRecord [
 338 <!ATTLIST xsl:stylesheet id ID #REQUIRED>
 339 ]>
 340 ';
 341     $replace_string = '<?xml-stylesheet type="text/xsl" href="stylesheet/ccr.xsl"?>';
 342     $main_xml = str_replace($replace_string, $substitute_string, $main_xml);
 343
 344     // remove redundant xml declaration from stylesheet
 345     $replace_string = '<?xml version="1.0" encoding="UTF-8"?>';
 346     $main_stylesheet = str_replace($replace_string, '', $main_stylesheet);
 347
 348     // embed the stylesheet in the raw xml file
 349     $replace_string = '<ContinuityOfCareRecord xmlns="urn:astm-org:CCR">';
 350     $main_stylesheet = $replace_string . $main_stylesheet;
 351     $main_xml = str_replace($replace_string, $main_stylesheet, $main_xml);
 352
 353     // insert style1 id into the stylesheet parameter
 354     $substitute_string = 'xsl:stylesheet id="style1" exclude-result-prefixes';
 355     $replace_string = 'xsl:stylesheet exclude-result-prefixes';
 356     $main_xml = str_replace($replace_string, $substitute_string, $main_xml);
 357
 358     // prepare the filename to use
 359     //   LASTNAME-FIRSTNAME-PID-DATESTAMP-ccr.xml
 360     $main_filename = getReportFilename() . "-ccr.xml";
 361
 362     // send the output as a file to the user
 363     header("Content-type: text/xml");
 364     header("Content-Disposition: attachment; filename=" . $main_filename . "");
 365     echo $main_xml;
 366 }
 367
 368 if ($_POST['ccrAction']) {
 369     $raw = $_POST['raw'];
 370   /* If transmit requested, fail fast if the recipient address fails basic validation */
 371     if (substr($raw, 0, 4) == "send") {
 372         $send_to = trim(stripslashes(substr($raw, 5)));
 373         if (!PHPMailer::ValidateAddress($send_to)) {
 374             echo(htmlspecialchars(xl('Invalid recipient address. Please try again.'), ENT_QUOTES));
 375             return;
 376         }
 377
 378         createCCR($_POST['ccrAction'], $raw, $_POST['requested_by']);
 379     } else {
 380         createCCR($_POST['ccrAction'], $raw);
 381     }
 382 }